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Your healthcare provider may also repair the PFO by transcatheter repair or heart surgery. A transcatheter repair is less invasive than a surgical repair.
People who do not respond to medication may need a minimally invasive, catheter-based procedure. Your interventional cardiologist closes the PFO with a small closure device. This is done in a cardiac catheterization (cath) laboratory.
A healthcare provider may recommend a PFO closure procedure if: You've had a transient ischemic attack (TIA) more than once. You've had cryptogenic (from an unknown cause) strokes more than once. You have a low level of oxygen in your blood.
You will receive local anesthesia or a light sedative. You will be awake but should not feel any discomfort during the procedure. During PFO closure, your doctor will implant a closure device that plugs your PFO using a catheter that is threaded through a vein in your groin and guided to your heart.
If you were born with a hole in your heart that never closed, known as a patent foramen ovale (PFO), you may need a procedure to correct it. Penn Medicine cardiologists use interventional techniques to close a patent foramen ovale without opening your chest for surgery.
If a PFO exists, a little blood can flow between the atria. A robotic-assisted patent foramen ovale repair is a type of minimally invasive surgery. Minimally invasive means that the surgery uses smaller cuts (incisions) than a traditional open heart surgery. Recovery may be easier and faster.
Procedures to close a patent foramen ovale include: Device closure. In this procedure, the provider inserts a thin, flexible tube called a catheter into a blood vessel in the groin area. The catheter tip has a device to plug the PFO . Surgical closure. In this heart surgery, the surgeon uses stitches to close the PFO .
ICD-10 code Q21. 12 for Patent foramen ovale is a medical classification as listed by WHO under the range - Congenital malformations, deformations and chromosomal abnormalities .
PFO/ASO Closure with ICE (93580 with 93662): Bill ICE-guided PFO closure with CPT 93580 (CardioSEALs, AMPLATZER™ Occluder, etc.). Bill 93580 has ICE/TEE codes if echocardiography was performed during PFO closure.